| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.71 | $147.91 | $181.97 | |
Cigna
| Facility | $186.21 | $186.21 | $239.88 | |
Cigna
| Professional | $134.90 | $134.90 | $190.55 | |
MVP Health Care
| Professional | $239.88 | $257.04 | $323.59 | |
United
| Facility | $154.88 | $162.18 | $190.55 | |
United
| Professional | $112.20 | $245.47 | $676.08 |